TNFα-induced programmed necrosis is a caspase-independent cell death program that is contingent upon the formation of a multiprotein complex termed the necrosome. The association of two of the components of the necrosome, receptor interacting protein 1 (RIP1) and RIP3, is a critical and signature molecular event during necrosis. Within this complex, both RIP1 and RIP3 are phosphorylated which are consequential for transmission of the pro-necrotic signal. Namely, it has been demonstrated that RIP3 phosphorylation is required for binding to downstream substrates. Nevertheless, the regulatory mechanisms governing necrosome activation remain unclear. Since necrosis is implicated in a variety of different diseases, understanding the biochemical signaling pathway can potentially yield future drug targets. I was interested in identifying other regulators of necrosis in hope of gaining a better understanding of the necrosis signaling pathway and regulators of the necrosome. To address this, I screened a cancer gene siRNA library in a cell line sensitive to necrosis. From this, I independently identified CYLD as a positive regulator of necrosis. Previous studies suggest that deubiquitination of RIP1 in the TNF receptor (TNFR)-1 signaling complex is a prerequisite for transition of RIP1 into the cytosol and assembly of the RIP1-RIP3 necrosome. The deubiquitinase cylindromatosis (CYLD) is presumed to promote programmed necrosis by facilitating RIP1 deubiquitination in this membrane receptor complex. Surprisingly, I found that TNFα could induce RIP1-dependent necrosis in CYLD-/- cells. I show that CYLD does not regulate RIP1 ubiquitination at the receptor complex. Strikingly, assembly of the RIP1-RIP3 necrosome was delayed, but not abolished in the absence of CYLD. In addition to the TNFR-1 complex, I found that RIP1 within the necrosome was also ubiquitinated. In the absence of CYLD, RIP1 ubiquitination in the NP-40 insoluble necrosome was greatly increased. Increased RIP1 ubiquitination correlated with impaired RIP1 and RIP3 phosphorylation, a signature of kinase activation. My results show that CYLD regulates RIP1 ubiquitination in the NP-40 insoluble necrosome, but not in the TNFR-1 signaling complex. Contrary to the current model, CYLD is not essential for necrosome assembly. Rather, it facilitates RIP1 and RIP3 activation within the necrosome and the corollary is enhancement of necrosome functionality and subsequent necrosis. My results therefore indicate that CYLD exerts its pro-necrotic function in the NP-40 insoluble necrosome, and illuminates the mechanism of necrosome activation.

Résumé : La mort cellulaire neuronale est un phénomène qui se produit pendant le développement du cerveau, mais aussi dans les conditions pathologiques. Selon l’environnement où la cellule se retrouve; l’apoptose ou la nécrose peuvent contribuer à cette mort neuronale. La nécrose produit un environnement qui promeut l’inflammation ainsi que la cytotoxicité. L’apoptose est un processus hautement organisé qui permet l’homéostasie tissulaire. Un récepteur NOD récemment découvert, Nlrx1, jouerait un rôle dans la régulation de l’inflammation et de la mort cellulaire pendant les infections. Par conséquent, notre hypothèse suppose que Nlrx1 joue un rôle neuroprotecteur en contrôlant la mort neuronale. Afin de déterminer le mécanisme protecteur de Nlrx1 in vitro, un Knock-Down, un Knock-In et un témoin Scrambled de Nlrx1 dans les cellules N2a ont été générés. Des essais LDH de mort cellulaire avec la staurosporine ou le stress oxydatif comme la roténone, le MPP+ ou le H[indice inférieur 2]O[indice inférieur 2] ont été exécutés. Suite au traitement de 24 heures à la staurosporine, les cellules N2a Knock-In subissent plus de mort cellulaire que les cellules N2a Knock-Down et les cellules Scrambled. Quand ces cellules sont traitées à la roténone ou au H[indice inférieur 2]O[indice inférieur 2], les cellules Knock-In subissent moins de mort cellulaire que les cellules Scrambled. Les cellules N2a Knock-Down ont plus de mort cellulaire que les cellules Scrambled quand elles sont traitées à la roténone ou au MPP+. Les analyses par immunobuvardage de type Western des protéines HSP90 et HMGB1 ainsi que par cytométrie en flux ont montré que les cellules Knock-In ont moins de cellules nécrotiques lorsque traitées à la roténone comparé aux cellules contrôles Scrambled. Le ratio des cellules nécrotiques/cellules apoptotiques était aussi plus élevé dans les cellules Knock-Down comparé aux cellules Scrambled. Par microscopie électronique, il a été possible d’observer que les cellules N2a Knock-In contiennent plus de mitochondries que les cellules Knock-Down et Scrambled en conditions témoins. Ces résultats ont aussi été confirmés par marquage au mitotracker en cytométrie de flux L’immunobuvardage de type Western a montré que dans les cellules Knock-In, il y avait une augmentation de la protéine phosphorylée-DRP1 active, une protéine impliquée dans la fission mitochondriale. Ces résultats pourraient expliquer le nombre augmenté de mitochondries observé dans les cellules Knock-In. Des expériences d’immunoprécipitation ont montré une association entre Nlrx1 et DRP1, ainsi qu’avec la forme active phosphorylée de DRP1. En ajoutant le Mdivi, un inhibiteur de la fission mitochondriale, aux traitements de roténone ou H[indice inférieur 2]O[indice inférieur 2], la mort cellulaire était augmentée dans les cellules Knock-In comparé aux cellules Scrambled. Également, la nécrose était augmentée dans les cellules Knock-In à des niveaux semblables à ceux retrouvés chez les cellules Scrambled et Knock-Down. Ces résultats suggèrent que Nlrx1 serait impliquée dans la régulation de l’équilibre entre la nécrose et l’apoptose, en favorisant la survie cellulaire. Nlrx1 pourrait alors servir de molécule neuroprotectrice dans les maladies médiées par le stress oxydatif. / Abstract : Neuronal cell death is a phenomenon that occurs during brain development as well as in pathological diseases. Depending on the environment in which the cells are; a poptosis or necrosis can contribute to neuronal cell death. Necrosis produces an environment that promotes inflammation and cytotoxicity and apoptosis is a highly organized process that maintains tissue homeostasis. A recently discovered NOD receptor, Nlrx1, is thought to play a role in regulation of inflammation and cell death during infection. Therefore, we hypothesize that Nlrx1 plays a neuroprotective role by controlling cell death in neurons. To determine the protective mechanism of Nlrx1 in vitro, a Knock-Down, a Knock-In and a Scrambled control of Nlrx1 in N2a cells was generated. LDH assays for cell death detection with staurosporine or oxidative stress, such as rotenone, MPP+ or H[subscript 2]O[subscript 2], have been done. After 24h treatment of staurosporine, N2a Knock-In cells showed higher cell death than N2a Knock-Down and Scrambled. When cells were treated with rotenone or H[subscript 2]O[subscript 2], N2a Knock-In cells had less cell death than Scrambled cells. N2a Knock-Down cells resulted in more cell death than Scrambled cells when treated with rotenone or MPP+.Western Blotting of HSP90 and HMGB1 as well as flow cytometry of cell death demonstrated N2a Knock-In cells to have less necrotic cells when treated with rotenone compared to Scrambled. The ratio of necrotic cells on apoptotic cells was also higher in N2a Knock-Down cells compared to Scrambled cells. Electron microscopy of control cells showed that Knock-In cells contains more mitochondria than Knock-Down and Scrambled cells. These results were confirmed by mitotracker staining by flow cytometry. Western blotting showed that there was an increased in Knock-In cells of active phosphorylated-DRP1 protein, a protein implicated in mitochondrial fission. Thus, it could explain the increased number of mitochondria seen in Knock-In cells. Immunoprecipitation showed that Nlrx1 protein interacts with DRP1 as well as active phosphorylated-DRP1. Adding Mdivi, a mitochondrial fission inhibitor, to rotenone or H[subscript 2]O[subscript 2] treatments, cell death was increased in Knock-In cells compared to Scrambled. Also, necrosis was also augmented in Knock-In cells to levels comparable to Scramble and Knoc k-Down cells. These results suggest an implication for Nlrx1 in regulating the balance of necrosis to apoptosis, permitting cells to survive. Nlrx1 could serve as a neuroprotective molecule in diseases mediated by oxidative stress.

The murine cytomegalovirus (MCMV) immediate early 1 (IE1) protein has been described as a trans-activator of viral and host gene expression. However, the precise role that IE1 plays in the viral life cycle, and in particular its effect on the host immune response is not known. This thesis investigates the functional relationship of the IE1 protein and the immune response induced after infection. By using an ie1-deletion mutant MCMV (MCMVdie1) it was demonstrated that, early after infection, tumor necrosis factor (tnf ) gene activation and protein production was significantly induced in infected-primary macrophages (M ) to a much greater extent than its wild type counterpart. In addition, preliminary studies on the signalling pathways activated upon infection were carried out in order to gain information about the pathways that might be involved in MCMVinduced modulation of tnf activation. Initial observations on the MAPK family members Erk1/2, p38 and JNK did not revealed any differential activation in the absence of IE1. However, due to a number of limitations, it was not possible to draw any firm conclusions from this study. Investigation of the role of IE1 in the in vivo production of TNF were also performed in both susceptible (BALB/c) and resistant (C57Bl/6) mice. These experiments confirmed the attenuated phenotype of MCMVdie1 in vivo, whereby the mutant strain grew to much lower titers than wild type. When cytokine production was assessed in relation to PFU levels a significant production of TNF after infection is observed in different organs of both mice strains. This raises the question whether IE1 contributes to MCMV modulation of TNF production in the natural host. Although, because it is still unclear whether the phenotype of MCMVdie1 in vivo is due to a defect in the virus or the result of a immune response, it was not possible to conclude unequivocally that IE1 is responsible for dampening this cytokine response. This thesis also tested whether the attenuated replication of MCMVdie1 in vivo was due to the increased TNF production induced after infection. An initial investigation in tnf depleted mice revealed that the MCMVdie1 growth phenotype is not due to TNF response. Overall, this study has provided insight into a potential immune modulatory function by MCMV associated with IE1 protein and the regulation of TNF in vivo and in vitro.

published_or_final_version / Paediatrics and Adolescent Medicine / Master / Master of Philosophy

Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) is a potentially useful anticancer agent with exquisite selectivity for cancer cells. Unfortunately, many cancers exhibit or acquire resistance to TRAIL. We report herein that TRAIL activates a TGF-ß-activated kinase 1→mitogen-activated protein kinase (MAPK) kinase 3 (MKK3)/MKK6→p38 pathway in prostate cancer cells that transcriptionally upregulates expression of the antiapoptotic BCL-2 family member MCL-1. TRAIL alone triggered robust formation of the "death-inducing signaling complex", activation of the initiator caspase-8, and truncation of the BH3-only protein BID (tBID). Nevertheless, simultaneous disruption of the p38 MAPK pathway was required to suppress MCL-1 expression, thereby allowing tBID to activate the proapoptotic BCL-2 family member BAK and stimulate mitochondrial outer membrane permeabilization (MOMP). Release of the inhibitor-of-apoptosis antagonist, Smac/DIABLO, from the intermembrane space was sufficient to promote TRAIL-induced apoptosis, whereas release of cytochrome c and apoptosome function were dispensable. Even following MOMP, however, mitochondrial-generated reactive oxygen species activated a secondary signaling pathway, involving c-Jun N-terminal kinases, that likewise upregulated MCL-1 expression and partially rescued cells from death. Thus, stress kinases activated at distinct steps in the extrinsic pathway mediate TRAIL resistance through maintenance of MCL-1 expression. / text

Bone cutting is widely used in orthopaedic, dental and neuro surgeries and is a technically demanding surgical procedure. Novel surgical methods are continually introduced in orthopaedic, neuro and dental surgeries and are aimed at minimising the invasiveness of the operation and allowing more precise cuts. One such method that utilises cutting with superimposed ultrasonic vibration is known as ultrasonically- assisted cutting (UAC). The main concern in bone cutting is the mechanical and thermal damage to the bone tissue induced by high-speed power tools. Recent technological improvements are concerned with the efforts to decrease the force required by the surgeon when cutting the bone as well as increases in surgery speed. A programme of experiments was conducted to characterise properties of a bone and get a basic understanding of the mechanics of bone cutting. The experiments included: (a) nanonindentation and tension tests to obtain the properties for the finite element (FE) bone cutting model, (b) high-speed filming to observe the chip formation process, which influences thermomechanics of the cutting process in conventional drilling (CD) and ultrasonically-assisted drilling (UAD) and, (c) plane cutting and drilling experiments to measure the levels of force and temperature rise in the bone tissue. Novel two-dimensional finite element (FE) models of cortical bone cutting were developed for conventional and ultrasonically-assisted modes with the MSC.MARC general FE code that provided thorough numerical analysis of thermomechanics of the cutting process. Mechanical properties such as the elastic modulus and strain-rate sensitivity of the bone material were determined experimentally and incorporated into the FE models. The influence of cutting parameters on the levels of stress, penetration force and temperature in the bone material was studied using conventional cutting (CC) and ultrasonically-assisted cutting (UAC). The temperature rise in the bone material near the cutting edge was calculated and the effect of cutting parameters on the level of thermal necrosis was analysed. The necrosis depth in bone was calculated as a distance from the cut surface to the point where the thermal threshold level was attained. Comparative studies were performed for the developed FE models of CC and UAC of bone and the results validated by conducting experiments and using data from scientific publications. The main outcome of the thesis is an in-depth understanding of the bone cutting process, and of its possible application in orthopaedics. Recommendations on further research developments are also suggested.

This thesis focuses on the startling ways in which a significant number of early Christian hagiographies feature saints with rotting flesh and suppurative wounds. It explores this phenomenon first by considering ancient medical understandings of diseases such as phagedenic ulcers, gangrene, and the production of pus as evidence of humoural imbalances requiring medical intervention. Then it considers reasons why early Christians developed more positive attitudes regarding these conditions. These include associating rotting flesh with superior spiritual fortitude. They also include non-theological reasons for this phenomenon. This thesis hypothesizes that early Christians also enjoyed looking at rotting saints out of a voyeuristic desire to gaze upon otherwise hidden bodies. Furthermore, it argues that Christians enjoyed exposing themselves to feelings of fear and anxiety because of the neurochemical dimensions the experience stimulated. / May 2017

The role of cyclic guanosine monophosphate (cGMP) dependent protein kinase (PKG) in necrotic and apoptotic pathways of many cell types is well established; however its role in the ischemic preconditioning (IPC) of cardiomyocytes is not clearly defined. In the current study, we assessed the hypothesis that PKG protects against cell death following ischemidreperfusion injury in myocytes subjected to IPC. Freshly isolated adult rat ventricular myocytes were subjected to IPC by incubating in ischemic buffer for 30 minutes (min) followed by incubation in normal medium for 30 min. Prolonged simulated ischemia (SI) was created by incubating myocytes in the ischemic buffer for 90 min and reoxygenation (RO) for 120 min in the normal medium. Necrosis was determined by trypan blue exclusion and apoptosis was assessed by TUNEL assay. IPC reduced necrosis as shown by significant decrease in trypan blue positive cells as compared to virgin non-preconditioned myocytes subjected to SI and RO alone (p<.01). Similarly, the number of TUNEL positive myocytes following SI and 18 hrs of RO were significantly reduced in the IPC group. Treatment with PKG inhibitor, KT5832 (2pM) completely abolished the protection against necrosis by IPC. However, KT5832 failed to abolish the protective affect of IPC against apoptosis. Furthermore, myocytes infected with an adenoviral construct of PKG-la (1 x 1 o4 particles/cell) significantly reduced the number of trypan blue and TUNEL positive cells. These results suggest that the PKG signaling pathway plays an essential role in the preconditioning of myocytes against necrosis following SI / RO injury. Furthermore, while the overexpression of PKG protects myocytes against necrosis, as well as apoptosis, IPC may not induce a sufficient level of PKG during 18 hours of RO to induce protection against apoptosis.

Doctor of Philosophy / Department of Animal Sciences / Barry Bradford / The transition into lactation is a period of primary concern to dairy producers because of the tremendous incidence of health disorders observed during this time. Two common disorders that lead to decreases in production and retention within the herd include fatty liver disorder (FL) and ketosis. These two disorders have been commonly associated with negative energy balance, yet recently it has been hypothesized that inflammation is a contributor to the etiology of these disorders. Three individual projects were completed for this dissertation, all involving inflammation. The role of endogenous inflammation was determined by administration of sodium salicylate (SS) to cows for 7 d after parturition, and metabolites and production responses were evaluated. Overall it appears that SS induced hypoglycemic conditions and increased triglyceride accumulation in the liver (while administered), increased lipid mobilization and ketones (2 weeks after administration ended), and increased whole lactation milk production in older cows. A sensitive, specific sandwich ELISA for bovine tumor necrosis factor-[alpha] was developed, which provided the ability to measure “normal” circulating levels of this cytokine. The final study involved inducing inflammation by daily injections of the TNF[alpha] to the early lactation dairy cow. In this model, cows receiving TNF[alpha] had a reduction in dry matter intake, water intake, and decreases in milk production and milk components. Overall, it appears that inflammation is involved in the normal biology of the transition dairy cow and disrupting this can lead to interesting negative effects and some improvements of production; however, when inflammation is much greater it can lead to negative production effects.

Memoria para optar al Título Profesional de Médico Veterinario / La Pancreatitis Necrótica Infecciosa (IPN) es una enfermedad distribuida mundialmente que afecta a distintas especies de salmónidos, siendo uno de los más susceptibles el salmón del Atlántico (Salmo salar). En Chile, así como en otros países, es una de las principales causas de mortalidad, especialmente durante la fase de crianza de agua dulce. Considerando la importancia económica de dicha enfermedad para la salmonicultura nacional, el propósito de este estudio es determinar las fuentes de (co) variación genética de la resistencia a IPN y el peso corporal; y así estimar la respuesta correlacionada en resistencia debida a la selección directa por peso corporal de alevín. Se utilizó un modelo de estudio de desafío experimental en el Laboratorio de Virología de la Universidad de Santiago de Chile. Un total de 4.310 alevines (pertenecientes a 29 familias de propios hermanos) se enfrentó al virus del IPN (IPNv) mediante inmersión. La crianza inicial después de la incubación, se llevó a cabo en la Unidad Experimental de la “Universidad de Chile”, en Castro. Se utilizó un modelo bivariado para la estimación de los parámetros genéticos para peso corporal y resistencia a IPN (medida como días hasta la muerte). El peso corporal fue obtenido inmediatamente después de la muerte; mientras que la resistencia a IPN se consideró como una variable normal a través del tiempo. Se obtuvo varianza genética significativa tanto para peso corporal como resistencia a IPN, con heredabilidades que alcanzan a 0,66 ± 0,19 y 0,56 ± 0,32; respectivamente. Los valores relativamente grandes de estas estimaciones de los parámetros es probable que se deban por los efectos ambientales comunes. Una correlación genética significativa de -0,68 ± 0,11 se encontró entre ambas características. Los resultados muestran que seleccionar directamente por resistencia entregaría una respuesta correlacionada negativa para peso corporal; mientras que, la selección hecha antes de la fase de agua dulce para aumentar el peso corporal, tendría un gran impacto en disminuir la resistencia a IPN del salmón del Atlántico. / Proyecto CORFO-INNOVA (0CT6 PP-10)